Individual provider Active NPI

Rebecca Braughton, MS, APN, CPNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lafayette, IN
National Provider Identifier
1831628320
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71007165A Issued in IN
Practice address
3633 Regal Valley Dr
Lafayette, IN 47909-8383
Phone
(877) 978-6747
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 71007165A IN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71007165A IN Primary

Addresses

Primary practice location

3633 Regal Valley Dr
Lafayette, IN 47909-8383

Mailing address

5942 Appaloosa TRL
West Lafayette, IN 47906-9625
Phone (773) 263-0487

Other practice location 1

31 N Earl Ave
Lafayette, IN 47904-2812
Phone (765) 237-8894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner, Master of Science

State licenses

LicenseStateTypeSpecialty
71007165AINMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Pediatriacs, PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1831628320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5942 APPALOOSA TRL",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479069625",
            "telephone_number": "773-263-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 REGAL VALLEY DR",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479098383",
            "telephone_number": "877-978-6747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 N Earl Ave",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479042812",
            "country_code": "US",
            "telephone_number": "765-237-8894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAUGHTON",
        "first_name": "REBECCA",
        "credential": "MS, APN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "71007165A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71007165A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.